I think its good in principle.
Medicaid provides affordable health care to low income Americans but it can be more efficiently managed at less cost to taxpayers while delivering quality medical care and improved patient satisfaction.
People say its our version of Canada Medicare - in that its true its publicly financed but health care is privately delivered. The state finances the entire cost and patients never see a bill.
Interesting article — thanks for posting. I wish you would rethink your application of the term “affordable”. From the perspective of welfare recipients, all handouts are “affordable”. $1 billion/day cash payments for each person? Quite affordable from the recipients’ viewpoint. But Illinois and PA are fine examples of states that are bankrupt. Is a vast expansion of Medicaid or any other net spending increase “affordable” for the taxpayers? The “savings” that the article discusses are actually just reductions in an enormous spending increase by bankrupt governments.